Cerebral venous thrombosis presenting with headache only and misdiagnosed as subarachnoid hemorrhage

Ünal, Aslıhan Yürüktümen; Ünal, Ali; Göksu, Erkan; Arslan, Savas

doi:10.5847/wjem.j.1920-8642.2016.03.013

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…In these patients, CVT should be considered. Unal et al ( 2016 ) described a patient with CVT who was misdiagnosed with subarachnoid hemorrhage. This 78-year-old male had intermittent headache 1 year before the onset of CVT and was admitted as a result of the sudden onset of a severe headache.…”

Section: Clinical Featuresmentioning

confidence: 99%

Diagnosis and Treatment of Cerebral Venous Thrombosis: A Review

Luo

Tian

Wang

2018

Front. Aging Neurosci.

122

145

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Cerebral venous thrombosis (CVT), also called cerebral venous sinus thrombosis (CVST), is a cerebrovascular disease with diverse clinical manifestations that often affects young adults, women of childbearing age, and children. It's most common clinical manifestations are headache, seizures, altered consciousness, and neurological focal signs on physical examination. CVT can manifest as a single symptom, or it can present as a syndrome consisting of multiple symptoms. This non-specific clinical picture makes diagnosing CVT difficult. Although the mortality rate of CVT has been significantly reduced by improvements in treatment and diagnostic techniques, the mortality rate of severe CVT remains as high as 34.2%. Survivors of this type of CVT have varying degrees of residual symptoms and are not able to return to their previous work. Hence, we performed a comprehensive literature search in the PubMed, EMBASE, and Medline databases to review the diagnosis and treatment of CVT.

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Section: Clinical Featuresmentioning

confidence: 99%

Diagnosis and Treatment of Cerebral Venous Thrombosis: A Review

Luo

Tian

Wang

2018

Front. Aging Neurosci.

122

145

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“…The age and gender distribution were relevant to a study which is done here in Sudan Cerebral venous thrombosis Clinical presentation and outcome in prospective series from Sudan'' which showed a mean age of 33.9 ± 11.8, and female predominance of 80% (30) , and also the same as other studies done in the regional area such as Iran, Oman and Saudi Arabia, and they concluded that Cerebral Venous Sinus Thrombosis (CVST) occurs predominantly in young female (28,31−33) only two studies from India revealed a male predominance (16,17) , one of them attributed this probably due to rising consumption of alcohol by men, improvement in obstetric care, and higher level of clinical suspicion and detection of Cerebral Venous Sinus Thrombosis (CVST) at an early stage (17) The most common symptom was headache which is present in up to 94.6% of the patients in this study, which is nearly same to "Cerebral venous thrombosis Clinical presentation and outcome in prospective series from Sudan'' which showed that all the patients presented with headache (30) , and slightly more than what is reported in almost all the studies of Cerebral Venous Sinus Thrombosis (CVST) regionally and internationally, as it has been reported in the range of 70-90% (18,23) . And in one case report from Turkey a case of Cerebral Venous Sinus Thrombosis (CVST) has been misdiagnosed as subarachnoid hemorrhage because he was presenting with headache only (34) , so headache must be taken seriously and should be investigated thoroughly especially in high risk groups.…”

Section: The Clinical Presentationmentioning

confidence: 99%

Clinical Profile And Risk Factors of Cerebral Venous Sinus Thrombosis (CVST) in Sudan

Ibrahim

Mohamed

Ahmed

et al. 2021

Preprint

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Background Cerebral venous sinus thrombosis (CVST) is relatively uncommon cause of stroke mainly affects young ladies, with a wide spectrum of symptoms severity and prognosis. In this study we aim to study the clinical profile and Risk Factors of CVST among Sudanese patients in Khartoum state hospitals. Methods This is an observational cross-sectional multi-center hospital based study which covered 37 participants, in three major hospitals in khartoum, with radiologically confirmed Cerebral Venous Sinus Thrombosis (CVST) Results 37 patients were included in this study, The mean age of patients was 38.5 ± 13.4 years, with minimum age of 23 years and maximum of 75 years, the largest group (n = 18, 48.6%) were in the range between “26–35” years, regarding gender distribution (n = 8; 21.6%) were males and the majority of patients were female (n = 29; 78.4%), the commonest presenting feature was headache (n = 35; 94.6%), followed by blurring of vision (n = 25; 67.6%), while seizures is a presenting symptom in nearly half of the patients (n = 17; 45.9%), on examination papilloedema was present in 83.8%. In this study 13.8% were pregnant, 31.0% were postpartum, OCPS user account for 27.%, and No risk factor present in 32.4%. regarding the involved sinus Sagittal Venous Sinus and the transverse sinus were the most affected sinuses. Regarding treatment options: “low molecular weight heparin followed with warfarin” was found in 81.1%, followed with heparin only 10.8%, while the new agents NOACs comprised only 8.1%. Conclusion The study concluded that Cerebral Venous Sinus Thrombosis is mainly a disease of child-bearing women, although significant proportions of men were affected. Cerebral Venous Sinus Thrombosis presents in a wide variety of signs and symptoms.

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“…Intravascular intervention may be applied to patients with severe CVT [ 8 ]. With the improvement in imaging diagnostic techniques and early treatment with anticoagulation, the mortality rate of CVT has decreased over the past years [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics of cerebral venous sinus thrombosis patients with new-onset of headache

et al. 2023

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Objective This study aimed to assess the clinical characteristics of cerebral venous sinus thrombosis (CVT) patients with new-onset headache and to identify the risk factors for headache in this population. Methods We retrospectively reviewed the demographic and clinical data of 69 CVT patients recruited between September 2017 and September 2019. Patients were classified into two groups, the headache group and the non-headache group, according to the presence or absence of new-onset headache symptoms at admission. The following characteristics and parameters were measured and analyzed, including gender, age, amount of thromboembolic cerebral venous sinus(ATCVS), and other relevant indicators. Results The incidence of headache was 75% in this cohort. The proportion of female patients in the headache group was higher than that in the non-headache group. Patients in the headache group were younger than those without headache. CVT patients of headache group showed higher lymphocyte ratio (LR), blood urea nitrogen (BUN), and intracranial pressure (ICP) compared to the non-headache group, whereas mean corpuscular volume (MCV) and levels of protein (cerebrospinal fluid, CSF) and lactic dehydrogenase (LDH) in CSF were lower in headache patients. The data also revealed younger age and the increased level of chloride ion CI-(CSF) were the risk factors for the occurrence of headache in CVT patients. Conclusion Age, LR, MCV, BUN levels, ICP, protein (CSF), and LDH (CSF) in patients with headache were significantly different from those in the non-headache group at admission. Younger age and a level of CI- (CSF) were risk factors for headache in CVT patients. These findings may provide guidance for clinical diagnosis and treatment of CVT.

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Cerebral venous thrombosis presenting with headache only and misdiagnosed as subarachnoid hemorrhage

Cited by 5 publications

References 7 publications

Diagnosis and Treatment of Cerebral Venous Thrombosis: A Review

Diagnosis and Treatment of Cerebral Venous Thrombosis: A Review

Clinical Profile And Risk Factors of Cerebral Venous Sinus Thrombosis (CVST) in Sudan

Clinical characteristics of cerebral venous sinus thrombosis patients with new-onset of headache

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